Active NPI
Lawrence C. Swan, M.D.
- Family Medicine Physician
- Cleveland, TN
National Provider Identifier
1871674515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LAWRENCE C. SWAN, M.D.
- Practice address
- 2620 Westside Dr NW
Cleveland, TN 37312-3605 - Phone
- (423) 339-1760
- Fax
- (423) 559-1483
- NPI assigned
- Oct 18, 2006
- Last updated
- Dec 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence Carl Swan, M.D.
- Title
- Owner
- Phone
- (423) 339-1760
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
2620 Westside Dr NW
Cleveland, TN 37312-3605
Mailing address
2620 Westside Dr NW
Cleveland, TN 37312-3605
Phone (423) 339-1760
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1584771 | Other | TN | GHI - SWAN |
| 3880829 | Other | TN | MEDICAID - SIMS |
| 0078692 | Other | TN | BCBST IND - SWAN |
| 3032152 | Other | TN | MEDICARE IND- SWAN |
| A99578 | Other | TN | UPIN - SWAN |
| 245331943 | Other | TN | TRICARE - SIMS INDIVIDUAL |
| 3032152 | Other | TN | MEDICAID - SWAN |
| G62659 | Other | TN | UPIN - SIMS |
| 0078692 | Other | TN | BCBST GROUP |
| 1584772 | Other | TN | GHI - SIMS |
| 3880829 | Other | TN | MEDICARE IND - SIMS |
| 44D0309375 | Other | TN | CLIA - GROUP |
| 272525633 | Other | TN | TRICARE - SWAN INDIVIDUAL |
| 3719860 | Other | TN | MEDICARE GROUP |
| 4052544 | Other | TN | BCBST IND - SIMS |
Other names 1
- Covenant Family Medicine
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Cleveland, TN
- NPI 1467402321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448928000000",
"number": "1871674515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 WESTSIDE DR NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123605",
"telephone_number": "423-339-1760",
"fax_number": "423-559-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 WESTSIDE DR NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123605",
"telephone_number": "423-339-1760",
"fax_number": "423-559-1483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE C. SWAN, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2015-12-01",
"status": "A",
"authorized_official_last_name": "SWAN",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "CARL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-339-1760",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI - SWAN",
"identifier": "1584771",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID - SIMS",
"identifier": "3880829",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST IND - SWAN",
"identifier": "0078692",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE IND- SWAN",
"identifier": "3032152",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN - SWAN",
"identifier": "A99578",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE - SIMS INDIVIDUAL",
"identifier": "245331943",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID - SWAN",
"identifier": "3032152",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN - SIMS",
"identifier": "G62659",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST GROUP",
"identifier": "0078692",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI - SIMS",
"identifier": "1584772",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE IND - SIMS",
"identifier": "3880829",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA - GROUP",
"identifier": "44D0309375",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE - SWAN INDIVIDUAL",
"identifier": "272525633",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "3719860",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST IND - SIMS",
"identifier": "4052544",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Covenant Family Medicine",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.